J MANDAVA LLC

SAINT PETERS, MO
NPI1811083892
Entity TypeOrganization
Authorized ContactJYOTHI MANDAVA
Owner
636-939-2550
Organization Subpart ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
Enumeration Date2006-10-05
Last Update Date2008-06-18
Business Address
J MANDAVA LLC
255 SPENCER RD SUITE 201
SAINT PETERS, MO 63376-2494
Phone number: 636-939-2550
Mailing Address
J MANDAVA LLC
255 SPENCER RD SUITE 201
SAINT PETERS, MO 63376-2494
Phone number: 636-939-2550
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